EP4252834A3 - Werkzeuge zur unterstützung der selbstumprogrammierung der rückenmarksstimulation - Google Patents

Werkzeuge zur unterstützung der selbstumprogrammierung der rückenmarksstimulation Download PDF

Info

Publication number
EP4252834A3
EP4252834A3 EP23188984.1A EP23188984A EP4252834A3 EP 4252834 A3 EP4252834 A3 EP 4252834A3 EP 23188984 A EP23188984 A EP 23188984A EP 4252834 A3 EP4252834 A3 EP 4252834A3
Authority
EP
European Patent Office
Prior art keywords
patient
reprogramming
spinal cord
stimulation
efficacy
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
EP23188984.1A
Other languages
English (en)
French (fr)
Other versions
EP4252834A2 (de
Inventor
Ismael HUERTAS FERNANDEZ
Que T. Doan
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Boston Scientific Neuromodulation Corp
Original Assignee
Boston Scientific Neuromodulation Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US16/460,655 external-priority patent/US11338127B2/en
Priority claimed from US16/460,640 external-priority patent/US20200009367A1/en
Priority claimed from US16/657,560 external-priority patent/US20200046980A1/en
Priority claimed from US16/738,786 external-priority patent/US11951314B2/en
Application filed by Boston Scientific Neuromodulation Corp filed Critical Boston Scientific Neuromodulation Corp
Publication of EP4252834A2 publication Critical patent/EP4252834A2/de
Publication of EP4252834A3 publication Critical patent/EP4252834A3/de
Pending legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37235—Aspects of the external programmer
    • A61N1/37247—User interfaces, e.g. input or presentation means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36062—Spinal stimulation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/025—Digital circuitry features of electrotherapy devices, e.g. memory, clocks, processors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0551—Spinal or peripheral nerve electrodes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128—Control systems
    • A61N1/36146—Control systems specified by the stimulation parameters
    • A61N1/3615—Intensity
    • A61N1/36164—Sub-threshold or non-excitatory signals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128—Control systems
    • A61N1/36146—Control systems specified by the stimulation parameters
    • A61N1/36182—Direction of the electrical field, e.g. with sleeve around stimulating electrode
    • A61N1/36185—Selection of the electrode configuration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37235—Aspects of the external programmer
    • A61N1/37241—Aspects of the external programmer providing test stimulations

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Neurology (AREA)
  • Human Computer Interaction (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Neurosurgery (AREA)
  • Electrotherapy Devices (AREA)
EP23188984.1A 2019-02-08 2020-01-13 Werkzeuge zur unterstützung der selbstumprogrammierung der rückenmarksstimulation Pending EP4252834A3 (de)

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
US201962803200P 2019-02-08 2019-02-08
US201962803330P 2019-02-08 2019-02-08
US16/460,655 US11338127B2 (en) 2017-08-11 2019-07-02 Stimulation modes to adapt customized stimulation parameters for use in a spinal cord stimulation system
US16/460,640 US20200009367A1 (en) 2018-07-03 2019-07-02 Modelling Relationships Between Stimulation Parameters and Use Thereof for Automatic Customization of Sub-Perception Therapy in a Spinal Cord Stimulation System
US16/657,560 US20200046980A1 (en) 2017-08-11 2019-10-18 Varying Stimulation Parameters to Prevent Tissue Habituation in a Spinal Cord Stimulation System
US16/738,786 US11951314B2 (en) 2017-08-11 2020-01-09 Fitting algorithm to determine best stimulation parameter from a patient model in a spinal cord stimulation system
PCT/US2020/013344 WO2020163045A1 (en) 2019-02-08 2020-01-13 Tools to assist spinal cord stimulation self-reprogramming
EP20704970.1A EP3921018B1 (de) 2019-02-08 2020-01-13 Werkzeuge zur unterstützung der selbst-reprogrammierung der rückenmarkstimulation

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
EP20704970.1A Division EP3921018B1 (de) 2019-02-08 2020-01-13 Werkzeuge zur unterstützung der selbst-reprogrammierung der rückenmarkstimulation

Publications (2)

Publication Number Publication Date
EP4252834A2 EP4252834A2 (de) 2023-10-04
EP4252834A3 true EP4252834A3 (de) 2023-12-13

Family

ID=71948283

Family Applications (2)

Application Number Title Priority Date Filing Date
EP23188984.1A Pending EP4252834A3 (de) 2019-02-08 2020-01-13 Werkzeuge zur unterstützung der selbstumprogrammierung der rückenmarksstimulation
EP20704970.1A Active EP3921018B1 (de) 2019-02-08 2020-01-13 Werkzeuge zur unterstützung der selbst-reprogrammierung der rückenmarkstimulation

Family Applications After (1)

Application Number Title Priority Date Filing Date
EP20704970.1A Active EP3921018B1 (de) 2019-02-08 2020-01-13 Werkzeuge zur unterstützung der selbst-reprogrammierung der rückenmarkstimulation

Country Status (4)

Country Link
EP (2) EP4252834A3 (de)
AU (1) AU2020217548B2 (de)
CA (1) CA3128166A1 (de)
WO (1) WO2020163045A1 (de)

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20160317815A1 (en) * 2015-04-29 2016-11-03 Boston Scientific Neuromodulation Corporation Priming neuromodulation for faster therapeutic response
US20170348530A1 (en) * 2016-06-02 2017-12-07 Boston Scientific Neuromodulation Corporation Automatic initiation of priming at startup of neuromodulation device
US20170348540A1 (en) * 2016-06-02 2017-12-07 Boston Scientific Neuromodulation Corporation Priming-assisted neuromodulation therapy

Family Cites Families (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6516227B1 (en) 1999-07-27 2003-02-04 Advanced Bionics Corporation Rechargeable spinal cord stimulator system
US8620436B2 (en) 2005-07-08 2013-12-31 Boston Scientific Neuromodulation Corporation Current generation architecture for an implantable stimulator device having coarse and fine current control
US8606362B2 (en) 2005-07-08 2013-12-10 Boston Scientific Neuromodulation Corporation Current output architecture for an implantable stimulator device
US8768453B2 (en) 2010-10-13 2014-07-01 Boston Scientific Neuromodulation Corporation Monitoring electrode voltages in an implantable medical device system having daisy-chained electrode-driver integrated circuits
US9061140B2 (en) 2010-10-13 2015-06-23 Boston Scientific Neuromodulation Corporation Sample and hold circuitry for monitoring voltages in an implantable neurostimulator
EP2627404B1 (de) 2010-10-13 2017-12-13 Boston Scientific Neuromodulation Corporation Architekturen für ein implantierbares medinzinisches gerätesystem mit in reihe geschalteten integrierten schaltungen zur elektrodenansteuerung
JP5957140B2 (ja) 2012-04-06 2016-07-27 ボストン サイエンティフィック ニューロモデュレイション コーポレイション 刺激プログラムを構成するための神経刺激システム及び方法
US9717919B2 (en) 2013-09-06 2017-08-01 Boston Scientific Neuromodulation Corporation Filtering algorithm for assessing communications wirelessly received by an implantable medical device
US20150080982A1 (en) 2013-09-13 2015-03-19 Boston Scientific Neuromodulation Corporation Window in a Case of an Implantable Medical Device to Facilitate Optical Communications With External Devices
US9707402B2 (en) 2014-02-14 2017-07-18 Boston Scientific Neuromodulation Corporation Plug-in accessory for configuring a mobile device into an external controller for an implantable medical device
US20150360038A1 (en) 2014-06-13 2015-12-17 Boston Scientific Neuromodulation Corporation Heads-Up Display and Control of an Implantable Medical Device
US20160144184A1 (en) 2014-11-21 2016-05-26 Boston Scientific Neuromodulation Corporation Implantable Stimulator Device Having Charge Measuring Circuitry Useable in Conjunction with DC-Blocking Capacitors
US10549097B2 (en) 2016-08-24 2020-02-04 Boston Scientific Neuromodulation Corporation Systems and methods for spatially selective spinal cord stimulation
US11040192B2 (en) 2016-09-10 2021-06-22 Boston Scientific Neuromodulation Corporation Current generation architecture for an implantable medical device
US10576265B2 (en) 2016-09-10 2020-03-03 Boston Scientific Neuromodulation Corporation Pulse definition circuitry for creating stimulation waveforms in an implantable pulse generator
WO2020010120A1 (en) 2018-07-03 2020-01-09 Boston Scientific Neuromodution Corporation Spinal cord stimulation system modelling relationships between stimulation parameters for automatic customization of sub-perception therapy

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20160317815A1 (en) * 2015-04-29 2016-11-03 Boston Scientific Neuromodulation Corporation Priming neuromodulation for faster therapeutic response
US20170348530A1 (en) * 2016-06-02 2017-12-07 Boston Scientific Neuromodulation Corporation Automatic initiation of priming at startup of neuromodulation device
US20170348540A1 (en) * 2016-06-02 2017-12-07 Boston Scientific Neuromodulation Corporation Priming-assisted neuromodulation therapy

Also Published As

Publication number Publication date
AU2020217548A1 (en) 2021-07-29
EP3921018B1 (de) 2023-08-16
EP3921018A1 (de) 2021-12-15
WO2020163045A1 (en) 2020-08-13
AU2020217548B2 (en) 2022-11-03
EP4252834A2 (de) 2023-10-04
CA3128166A1 (en) 2020-08-13

Similar Documents

Publication Publication Date Title
JP7176949B2 (ja) 経皮直流電流ブロックによる神経伝導変更システム及び方法
CA2955966C (en) Neural stimulation dosing
WO2011112773A3 (en) Modular stimulator for treatment of back pain, implantable rf ablation system and methods of use
EP3824945A3 (de) Elektrisches stimulationssystem
WO2019244099A3 (en) Systems and methods for treating mood disorders
WO2003086531A3 (en) Method and apparatus for the treatment of sleep apnea using biventricular pacing
US11730963B2 (en) Apparatuses and methods for setting an electrical dose
EP4282467A3 (de) System zur stimulation des rückenmarks, das die optimale sub-perzeptionstherapie unter verwendung der nervendosis bestimmt
WO2017205047A3 (en) Systems and methods for increasing a delay in the gastric emptying time for a patient using a transcutaneous electro-dermal patch
ES2661188T3 (es) Regulador del ritmo cardíaco temporal no invasivo interferencial
WO2016049047A3 (en) Systems and methods for providing therapy using electrical stimulation to disrupt neuronal activity
WO2016081468A3 (en) Implantable electro-medical device programmable for improved operational life
EP4252834A3 (de) Werkzeuge zur unterstützung der selbstumprogrammierung der rückenmarksstimulation
US10765868B2 (en) Electrical stimulation device
Shepherd et al. Medical bionics
KR20150094363A (ko) 듀얼모드 바이오 피드백 보조재활치료기기
MX2021009759A (es) Sistema y metodo de estimulacion electrica portatil.
EP2968943B1 (de) Systeme zur verringerung von sensorinterferenzen im zusammenhang mit elektrotherapien
JP2016522055A (ja) 皮膚潰瘍の治療
RU154977U1 (ru) Устройство для лечения и профилактики остехондроза в поясничном отделе
Erfanian et al. A portable programmable transcutaneous neuroprosthesis with built-in self-test capability for training and mobility in paraplegic subjects
RU2300401C1 (ru) Способ реабилитации больных с переломами длинных костей
JPS61361A (ja) 陰イオン注入式治療装置
Veneva et al. Device for Electrical Acupuncture Stimulation
JP1773819S (ja) 医療用刺激器用外部ユニット

Legal Events

Date Code Title Description
PUAI Public reference made under article 153(3) epc to a published international application that has entered the european phase

Free format text: ORIGINAL CODE: 0009012

STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: REQUEST FOR EXAMINATION WAS MADE

17P Request for examination filed

Effective date: 20230826

AC Divisional application: reference to earlier application

Ref document number: 3921018

Country of ref document: EP

Kind code of ref document: P

AK Designated contracting states

Kind code of ref document: A2

Designated state(s): AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR

REG Reference to a national code

Ref country code: DE

Ref legal event code: R079

Free format text: PREVIOUS MAIN CLASS: A61N0001372000

Ipc: A61N0001050000

RIN1 Information on inventor provided before grant (corrected)

Inventor name: DOAN, QUE T.

Inventor name: HUERTAS FERNANDEZ, ISMAEL

PUAL Search report despatched

Free format text: ORIGINAL CODE: 0009013

AK Designated contracting states

Kind code of ref document: A3

Designated state(s): AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR

RIC1 Information provided on ipc code assigned before grant

Ipc: A61N 1/02 20060101ALI20231103BHEP

Ipc: A61N 1/372 20060101ALI20231103BHEP

Ipc: A61N 1/36 20060101ALI20231103BHEP

Ipc: A61N 1/05 20060101AFI20231103BHEP